A nurse is assessing a 3-year-old child with autistic behaviors, an elongated facial structure, and protrusion of the ears. The nurse suspects that the child may have which of the following syndromes?
Trisomy 21
Fragile X
Turners Syndrome
Williams Syndrome
The Correct Answer is B
A. Trisomy 21, or Down syndrome, typically presents with features like intellectual disability, a flat facial profile, upward slanting eyes, and a small mouth. The elongated facial structure and ear protrusion are not characteristic of this condition.
B. Fragile X syndrome is associated with developmental delays, autistic behaviors, and distinct physical features such as a long face, large ears, and a prominent jaw. These characteristics are consistent with the child’s presentation.
C. Turner’s syndrome primarily affects females and is characterized by short stature, webbed neck, and gonadal dysgenesis, but it does not typically involve autistic behaviors or elongated facial features.
D. Williams syndrome involves a distinct set of features including a broad forehead, short nose, and full lips. It is not primarily associated with elongated facial features and ear protrusion.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Wheat contains gluten, which should be avoided in individuals with celiac disease. Gluten can cause an immune response that damages the small intestine in these patients.
B. Rye also contains gluten and is not appropriate for a child with celiac disease. Gluten-free foods are necessary to prevent symptoms and intestinal damage.
C. Barley contains gluten, which makes it unsuitable for children with celiac disease. It should be avoided in the diet.
D. Rice is naturally gluten-free and is an appropriate food choice for a child with celiac disease. It can be included in the diet without causing an immune response. Other gluten-free grains such as corn, quinoa, and oats (if certified gluten-free) can also be suitable alternatives.
Correct Answer is A
Explanation
A. Children with dysmorphic syndromes and congenital anomalies often have multiple medical needs that require frequent hospitalizations for treatment or monitoring.
B. Weight loss is not necessarily a primary concern unless there is a feeding issue or metabolic disorder.
C. Cognitive impairment may be a concern depending on the specific syndrome, but it is not as immediate a concern as potential frequent hospitalizations.
D. Dependence on caregivers is expected, but the primary concern is frequent medical interventions, not the dependency itself.
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